| NPI | 1255776498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA RISTON CEO 409-838-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 540793) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 540793) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |